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GRAND LAKE FOOT AND ANKLE CENTER
NPI 1750937090
Durable Medical Equipment & Medical Supplies in Saint Marys, OH

Active since August 13, 2019
1013 E SPRING ST, SAINT MARYS, OH 45885(419) 394-8664(419) 394-1148 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2024, Aug 13, 2019 (2 updates tracked since 2019).

About Grand Lake Foot And Ankle Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND LAKE FOOT AND ANKLE CENTER (NPI 1750937090) is a healthcare organization registered as a durable medical equipment & medical supplies in Saint Marys, Ohio and active in the NPI registry since August 2019. The organization lists Tricia A Pohl, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750937090
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJTDM FAMILY PRACTICE LLC
Location Address1013 E SPRING STSaint Marys, OH 45885-2447
Mailing Address200 Saint Clair AveSaint Marys, OH 45885-2400 · (419) 394-3335 · Fax (419) 394-8485
Phone(419) 394-8664
Fax(419) 394-1148
Organization SubpartNo
Authorized OfficialTricia A PohlCfo · (419) 394-3335
Enumeration DateAugust 13, 2019
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1750937090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1013 E SPRING ST, Saint Marys, OH 45885
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Other Names 1

Doing Business AsGrand Lake Foot And Ankle Center

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EUGENE R LITTLE JR. D.P.M.
Podiatrist (Foot & Ankle Surgery)
1013 E SPRING ST
ST MARYS, OH 45885
Auglaize County (419) 394-8664
FOOT AND ANKLE CENTERS OF OHIO, INC.
Podiatrist (Foot & Ankle Surgery)
1013 E SPRING ST
ST MARYS, OH 45885
Auglaize County (419) 394-8664
CHRISTOPHER JOHN STUCKE DPM
Podiatrist (Foot & Ankle Surgery)
1013 E SPRING ST
SAINT MARYS, OH 45885
Auglaize County (419) 394-8664
JENNIFER ROSE OLIVER
Nurse Practitioner
1013 E SPRING ST
SAINT MARYS, OH 45885
Auglaize County (419) 394-8664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jtdm Family Practice LLC's NPI number?

The NPI number for Jtdm Family Practice LLC is 1750937090. It was assigned to this organization in the NPPES registry on August 13, 2019. The provider is doing business as Grand Lake Foot And Ankle Center.

Where is Jtdm Family Practice LLC located?

Jtdm Family Practice LLC is located at 1013 E Spring St, Saint Marys, OH 45885. The listed phone number is (419) 394-8664.

What is Jtdm Family Practice LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Jtdm Family Practice LLC was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.